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A member of Lega Nord, a right wing populist party, Fontana has rejected any responsibility for the severity of the Covid-19 outbreak in Lombardy due to his refusal to put into effect a lockdown of severely affected Lombard cities in early March 2020, as urged by the Superior Institute of Health. Fontana blamed the national government instead.

On 15 January 2018, Fontana stated that the Western culture was in danger due to the migration flows from Africa. This created many protests as well as criticisms from the centre-left Democratic Party (PD) and the anti-establishment Five Star Movement (M5S). Because of the controversy he apologised for his remarks, declaring that it was a slip of the tongue and an expressive error, not due to inherent racism of him or his party.. Fontana's principal rivals were Giorgio Gori (PD) and Dario Violi (M5S). On 4 March 2018 Fontana won 50% (Gori 29%, Violi 17%) in the regional election.

Some journalists in July 2016 speculated a nomination of Fontana as LN candidate in 2018 election for President of Lombardy if the incumbent President of Region Roberto Maroni (who was elected in 2013 regional election for a 5-year term with the support of Lega Lombarda and Lega Nord – the parties of Maroni and Fontana – and with the support of the other parties members of the 2013 center right coalition) will not run for a second consecutive (and final) term; in January 2018, when Maroni announced his retirement from politics, Fontana was selected as Centre-right (composed by FI, LN, the neo-fascist FdI, EpL, NcI and his civic personal list named "Fontana List" composed by members of PP, RC, MNS and also by civic, independent and non-partisans members) candidate to the Presidency of Lombardy.

A long-time member of Lega Lombarda and Lega Nord (LN), he was Mayor of Induno Olona from 1995 to 1999. Fontana, with LN, was elected in the 2000 regional election and 2005 regional election to the Regional Council of Lombardy, of which he functioned as President until July 2006. He stepped down from that office after being elected Mayor of Varese with 57.8% of the vote in the first round of 28 May 2006. He was re-elected in May 2011 with 53.8% of the vote in a run-off. Fontana, ineligible to run for reelection due to term limits, left the office in June 2016. In 2007 Fontana was the lawyer of Andrea Mascetti in the case against the left-wing journalist Michele Santoro from who they won.

Attilio Fontana (born 28 March 1952) is an Italian politician from Varese, Lombardy. He has served as President of Lombardy since 2018 in a coalition with extreme right wing parties.